HomeMy WebLinkAbout14588-zFORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
Certificate Of Occupancy
No. Z-16733 Date March 23, 1988
THIS CERTIFIES that the building CONSTRUCT ADDITION
Location of Pro err 225 Willow Street Cutchogue, New York
House No. Street Hamlet
County Tax Map No. 1000 Section I 03 .Block 7 ..... Lot 8
Subdivision ............................... Filed Map No ......... Lot No ..............
conforms substantially to the Application for Building Permit heretofore filed in this office dated
· ?.a.n..u.a.r.y...2.8.,., ! ,9,8.6. pursuant to which Building Permit No. 14588 Z
dated Ma r c h 2, I 986 was issued, and conforms to all of the requirements
of the applicable provisions of the law. The occupancy for which this certificate is issued is .........
RENOVATION, ADDITION, AND DECK ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR.
The certificate is issued to TIMOTHY WACKER
of the aforesaid building.
Suffolk County Department of Health Approval .... N / A
UNDERWRITERS CERTIFICATE NO. PENDING - 3/ 17/88
March I8, 1988 - K & K Plumbing & Heating
PLUMBERS CERTIFICATION DATED:
Building Inspector
Rev. 1/81
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
SOUTHOLD, N. Y.
BUILDING PERMIT
(THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL
COMPLETION OF THE WORK AUTHORIZED)
14588
..~.~..~.....~..:~;:...!..!.~...x..~.
~o ..~.~...~.!~.~......-.-..~.~....~..~..~.._~.: _ ~ _ ~..,~~ .......
at premises located at ............. ~ ..................................................... ~~~ ..............
County Tax Map No, 1000 Section ...~..0...."~... ........... Block ....... ~ ........... Lot No....~. ...................
BuJJdlng Inspector.
Rev. 6/30/80
July 11, 1997
Town of Southold
Building Department
office of the Building Inspector
Town Hall
Southold, NY 11971
Re: Certificates of Occupancy for 225 Willow Street,
Cutchogue
Dear Madam/Sir:
Would you please send me a copy of Building Permit No. 14588 Z
dated March 2, 1986. Please see the C of O attached in which
this is mentioned.
I am purchasing the house located at 225 Willow Street and now
owned by Peter and Virginia Ferrigan and want to be sure that we
have all the necessary information prior to the closing.and that
everything is proper. The closing will be on .August 15.
Are there any other Certificates of Occupancy? I have a copy of
the one enclosed plus a Pre C.O #Z 13920 dated October 10, 1985.
Thank you for your help. I did speak by telephone to someone
about this, and this is a follow-up.
You/~ sincerely, ~
Ruth E. Zeller · '~ /I
15 Brookside Drive / J-' ·.~/~'-/~ // ~ .
Enc. self addressed, stamped envelope
:tELD I~SFECTION COMMENTS
~OUNDATION (1st)
~'OUNDATION (2nd)
tOUGH FRAME &
FLUMBING
INSULATION PER N.
STATE ENERGY
CODE
FINAL
ADDITIONAL COMMENTS:
THE
~ate ~1arch 2~
THIS CERTIFIES THAT
NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
8E JOHN STREET, NEW YORK, NEW YORK 10038
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
Tim Wa~ l~er 955 will, qw Street c utchogue N.Y.
in the followlng location; ~ Basement ~ Ist Fl, ~ 2nd FI. Section Block Lot
tt~s exarnined on M~ ~7 ( }l ]. 7 ~' ¢)~ artd fou~td to be in compl once uAth the requirements qf this Board.
FIXTURS
OUTLETS
DRYr~S
'~-FIXTURES
5q ~ q
RANGES OVENS i)ISH WASHERS EXHAUST FANS
E R V I C
NO, Of CC COND
PER ,~'
OF CC CONO
Cute hogue N.Y. t. 1.9q 5
GENERAL MANAGER
This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspe~tqrs may be identified by their credentiais.
COPY FOR ;BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE
FORM NO. 6
TOWN OF SOUTHOLD
Building Department
Town Hall
Southold, N.Y. 11971
765 - J802
,, TOWN OF ~i:)~1~ll~.D '~
APPLICATION FOR CERTIFICATE OF OCCi.fPANCY
Instructions
This application must be filled in typewriter OR ink, and submitted m~ to the Building In~oec-
tot with the following; for new buildings or new use:
1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual
natural or topographic features.
2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa-
tions, a certificate of Code compliance from the Architect or Engineer responsible for the building,
5. Submit Planning Board approval of completed site plan requirements where applicable.
B, For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing"
land uses:
1. Accurate survey of pzToperty showing all property lines, streets, buildings and unusual natural or
topographic features.
2.Sworn statement of owner or previous owner as to use, occupancy and condition of buildings.
3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa-
tion required to prepare a certificate.
Fees: Additions $25.00 POOLS $25.00
1. Certificate of occupancy New Dwelling $25.00, Accessory ,$10.00 Business $50.00
2. Certificate of occupancy on pre-existing dwelling $ 50.00
3. Copy of certificate of occupancy $ 5.00, over 5 years $]0.00
c.o. 20.00 '3'z
s.upaa~ea c.o. $ 50.00 Date .~.t,o-,O".-~-v.-..~r,,,s~., .
NewCOnS t, puc ti on ...... Old or Pre-existing Building ............ Vacant Land .............
Location of Property .c~-~ L~t'~ {O~..,.~ 5.~
House No. Street ~ Ham/et
Owner or Owners of ~ropertg .................................................
County Tax Map No. 1000 Section ..{.~.~ ...... Block ..... ~l ........ Lot .... 5 ..........
Subdivision ................................. Filed Map No ........... Lot No ..............
Permit No. /.Z{~..~... Date of Permi, .~../~...~pplican,. J.,..~3'-¥~..L~..~L~. ........
Health Dept. Approval ........................ Labor Dept. Approval ........................
Underwriters Approval ........................ Planning Board Approval ......................
Request for Temporary Certificate ..................... Final Certificate
FeeSubmit ed*..ff -. ....................
Construction on above ~ ~
described building and permit meets all applicable codes and regulations.
App c nt ...........
Rev. 10-10-7,9
TOWN OF SOUTHOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN HALL
SOUTHOLD, N.Y. 11971
TEL. 765-1802
CERTIFICATION
Building Permit No.
Owner "~.
(please print)
(please print)
I certify that the solder used in the water supply system
contains less than 2/10 of 1% lead.
(plumber's signature)
Swo~to befor~,,me ~his
Notary Public
TOWN OF SOUTIIOLD
OFFICE OF BUILDING INSPECTOR
P.O. BOX 728
TOWN IIALL
SOUTIIOLD, N.Y. 11971
MaTch 11, 1988
TEL. 765-180?.
Mr. Timothy Wacker
Nassau Point Road
Cutchogue, New York
11935
To Whom This May Concern,
We are unable to complete your Certificate
of Occupancy bec%use.of the following reasons.
/~/ An application for Certificate of Occupancy
is ~ot on file. (ENCLOSED)
/~/ ?;o Underwriters Certificate on file.
/~/ The check is(~/not on file.) $25.00
/~/ No ~Iealth Dept. Approval on file.
/~/ No fina! inspection has been made.
P]e,~;e contact our office
Thank you for your cooperation.
Building Permit ~I I 4 5 8 8 Z
Building Dept.
on this matter.
Ho Plumber Solder Certificate on file.
( all permits involving plumbing being
issued after April !,1984 )
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
FRAMING ~r~]~FI NAL
REMARKS
DATE
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ~ ROUGH PLBG.
FOUNDATION
FRAMING
2ND [ ] INSULATION
/
[~ FINAL
REMARKS:
DATE ,?~ '~' !ut
INSPECTOR,.A .//,~ /4'~,4
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] ~!~/NSULATION
[ ] FRAMING [~ FINAL
DAT£~/~///
INSPECTO~~__z~
76S-1802
BUILDING DEPT.
INSPECTION
[]FOUNDATION 1ST ~]ROUGH PLBG.
[JFOUNDATION 2ND []INSULATION
[]FRAMING []FINAL
REMARKS: ~ /.~_ '-/ ,
[ ] FRAMING [ ] FINAL
REMARKS: ,~ ~~/~ ~-
DATE
INSPECTOR
765-~,8~2
BUILDING DEPT.
INSPECTION
[ ] FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING [ ] FINAL
DATE//~//~ INSPECTOR ~ ~/
765-1802
BUILDING DEPT.
INSPECTION
FOUNDATION 1ST [ ] ROUGH PLBG.
FOUNDATION 2ND [ ] INSULATION
[ ] FRAMING
REMARKS:
~/c~
[ ] FINAL
/ ?
DATE ~//(~'/ iNSPEGTOR~,~,~
~FORM NO. 1
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
$OUTHOLD, N.Y. 11971
TEL,: 765-1803
Examined , .'~.o~ ?.-~. .... 19~..{e.
Approved . .~..o~..4...~...., 19~..~. Permit No. ).~..&~..~.~..~..
Disapproved a/c ...................................
(Building Inspector)
APPLICATION FOR BUILDING PERMIT
Received ........... ,19...
Date .................. 19
INSTRUCTIONS
a. This application must be completely filled in by typewriter or in ink and submitted to the Building Inspector, with 3
sets of plans, accurate plot plan to scale. Fee according to schedule.
b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets
or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli-
cation.
c. The work covered by this application may not be commenced before issuance of Building Permit.
d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit
shall be kept on the premises available for inspection throughout the work.
e. No building shall be occupied or used in whole or in part for any purpose whatever until ft Certificate of Occupancy
shall have been granted by the Building Inspector.
APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the
Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or
Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described.
The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to
admit authorized inspectors on premises and in building for necessary insppt~ions. /Q
/ ;7. ff,
(Mailing address of applicant)
State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder.
Name of owner of premises .. ~.*T/-f. ·~l .... ~ .~..~..k. qt.~. · .......................................
(as on the tax roll or latest deed)
If applicant is a corporation, signature of duly authorized officer.
(Name and title of corporate officer)
Builder's License No ..... -~..q-.~. ...............
Plumber's License No .........................
Electrician's License No .......................
Other Trade's License No ......................
1. Location of land on which proposed work will be done ..................................................
House Number Street Hamlet
County Tax Map No. 1000 Section ..... [.~.~ ........ Block ..... ?. ........... Lot ~
Subdivision ..................................... Filed Map No ............... Lot ............... (Name)
State existing use and occupancy of premises and intended use and occupancy of proposed construction:
a. Existing use and occupancy ...... ~?~. ~.. C'~-L ................. . .............................
,
b. Intended use and occupancy ...... ~.~.I4~./~'~Q~.~.'. ......... ~?.¥.a;i~'}~;:.'~j}~.~ ..................
~. '3.,' '.I~a~Ure'of work~ ' ' ~(check which apphcable):' ' New Building ..........' 'Addition ........ Alteration ..........
Repair .............. Removal .............. Demolition .............. Other Work .............
'!,' '.''. :. ~; l,.v., 17ql, o~ (Description)
4. Estimated Cost ............ i ...... : .................. Fee .....................................
; i ~' (to be paid on filing this application)
~. _...~5~.,Jf~g~~er. o f dweliin~ units ............... Number of dweiling units on each floor ................
If garage, number Of cars ... ~ ....................................................................
6. If business, commercial or mixbd occupancy, specify nature and extent of each_Wp~ of use .....................
7. Dimensions of ,e~is~ng structu}es, if any: Front .... ~i~. ~'¢ ..... Rear ...~ ..... Depth .....'~. ........
Height ...... .c;.~f. ...... Number of Stories .......... [ .............................................
Dimensions of same structure with alterations or additions: Front ................. Rear ..................
Depth .................. ~... Height ...................... Number of Stories ......................
8. Dimensions ofg4agre new cons!ruction: Front ..... ~ ........ R_..ear ............... Depth ...'Z~. ........
Height /2~.//Y. . Number of Stories . n~./--O~l ..........
9. Size of lot. Front ..... ~. · .~..~. ......... Rear ...... I./~ ............ ~.Depth ...]tSZ) ................
10. Date ofenrchase .... 101 -.l. S................. .l~ame o f Fo .r[ner, Owner _'~.~....4~.4 ~.97,, ~. ...........
11. Zone or use district in which p~emises are situated ..... ~"lz'~ I~.'k'~l~ .C..... i'. ...........................
12. D .o. es.proposed construction ,vil)~te any zoning law, ordinance 0r regulation: .... ~..0 ............. ~ .......
13. ,W. 111 lot ~be..regrade~d ..... ~ ......... . ........... Will ex..cess fill_be.removed from 'pf6inises: _ YQ~.) No
14. rqame ox owner ox premises .I.IIItlllTt4~..[*51t~{~V(k~. Addres~/,~2.~ .IA~.q0....-~... Phone No..~[-~..~..~.~05/~..
Name of Architect ........ { .................. Address ................... Phone No ................
Name of Contractor ....... i .................. Address .................... Phone No ................
PLOT DIAGRAM
Locate clearly and distinctly all buildings, whether existing or proposed, and, indicate all set-back dimensions from
property lines. Give street and block number or description according to deed, and show street names and indicate whether
interior or corner lot.
STATE OF NEW YORK, i S.S
COUNTY OF .................
............................ ..................... being duly sworn, deposes and says that he is the applicant
(Name of individual signing contract)
above named. :
He is the ..................... i ....................................................................
(Contractor, agent, corporate Officer, etc.)
of said owner or owners, and is d¢ly authorized to perform or have performed the said work and to make and file this
application; that all statements contained in this application are true to ,the best of his knowledge and belief; and that the
work will be performed in the manr er set forth in the application filed therewith.
Sworn to before me this
........................ day Of ............... ,19.
Notary Public .................... County
, ~ (Signature of applicant)
WILLOW
STREET
PECONIC SURVEYORS 8~ ENGINEERS,
(`516) 7*6,5 - `502,0
54655 MAIN ROAD
$OUTHOLD~ N. Y. 11971
SURVEY FOR
TIMOTHY WA CKER
,AT CUTCHOGUE
TOWN OF SOUTHOLD
SUFFOLK COUNTY, N,Y.
LO00, - 103 - 07 - 08
SCALE'I" = 30t
SEPT. 17, 1985
~repared in accordance with the minimum
tandards for title surveys as established by
~e L,I.A.L.S. and approved and adopted
~r such use by The New York State Land CERTIFIED
~itle Association.
SOUTHOLD
N.Y.S. LIC. NO. 496!.8
TO:
SAVINGS BANK
TICOR TITLE GUARANTEE
COMJaAN¥
TIMOTHY WACKER
,I
soLDER uSED IN WATER
suPPLY SYSTEM CANNOT
E~EED 2/10 of I% LEAD.
PLUMBER CERTIFICATION
ON LEAD CONTENT BEFORE
CERTIFICATE OF OCCUPANCY
OCCUPANCY OR
USE IS UNLAWFUL
WITHOUT CERTIFICATE
OF OCCUPANCY